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HomeMy WebLinkAbout16033 (23) CITY OF DIAMOND BAbt � .. -- ` - DEPARTMENT O�F COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 (90'9)86U-3]95 Fax(909)861-3111 PRESS �"�'� BUILDING PERMIT APPLICA'I'ION FIRM Y o� JOBSITE APPUCATI�N PERMIT —�� P/C ADDRES5 DATE � 23 e NUMBER # � ISSUE TYPE OCC ' APN LOT TRACT DATE � CONST. GROUP p OWNER �� t�l ��yr+ fy'� � L p ADDRESS ° ZONING SETBACKS i �W CITY ZIP ��TEL. ��t l�l.. FRONT RW ❑ APPLICANt 't3. .�.� T�t,��` REAR ❑ � ~ "i"`� SIDFJSiDE STREET RW ❑ CONTRACTOR_, �i.N-'Z.J, SIDE ❑ p C�1Y S t��{�r'�3'�TEI. �'34{t+4 ts / PROPOSED USE �+ ARCHIENG/ DE3IGNER NO.DWEL. NO. NO. ADORESS U►dITS STORIES BEDROOMS y CITY ZIP TEL. �n DESCRIPTION SQ.FC FACTOF PSF ADJ.AflEANALUATiON O OWNER-BWLDER DECUflATION SFfllADDlHEM p i HERF9V AFFtl\I UImEq PENALTY pF PEFWRV TIMT I AM EXE'MPT FROII THE WNTflACTORS l4 Garage/Carport � CEM3E U1W fG17NE W110�Nl/0 HEA.RON(SEC.7031.5 BUSINESSAf�PqOFES5KKJ3 COOE:ANY CITY OR � CaUNfYWMipi1�0UNiE8ARFFpIfTTOCONSTRUCT,ALTER�PIIDYEDEMOIJSH,O{iREPA1RNJY5TRUG �JJ pgt�aDOCk TURE.PRIOH TO ITS 19SUAHICE K30 REOUINFS iME APPLICANT FOfl SUQ1 PFiWfT TO FILE A S16NE� W � SiATEYENT TUT NE Oq�1E IS UCENSEO PURSUNiT TO THE PROVVSIqfS OF THE CCxiTMC50i�U� � � CENSE LAW(GWW�ER Y(WMMENCMO NA'fH SECTION 7000)OF DINSIDN 30F THE BUSINESS M1D PNO- � POOU$j� fE8810N3 CODE)�1 TNNT HE Ofi 9ME IS EaEMPi TTfEqEFHOM ANO THE BFSFu FOR THE ALLEGED EXEMP� TIOM.ANYNOLATION�SECTION7031.6BYANYAGVLICANTFORAPERANTSUBIECTSTHEAGPLICNftTO Z Re-Root F AqYLLFEWLLTYOFNOTMOREIHMIFNEHUNOflEODOLLARS(25oo).): � ❑lA4bWNEPOFTHEPROVEHTY.Oq1AYEMPLOVEESWITHWAGE5It5THEIR50LECAMPENSRiION, 0 �mms�cial j YML DO TNE riOHK NO iNE STRUCTURE IS NOT INTEIqfiD Oq OFFERED FOfl SALE I�C.7M1,BUSb _1 � NESS M1D 7ROFE93101IS CODE:TNE CONTRACTORS LICENSE lAN OOES NOT APPLY TO hN OWNER OF � i PIqPEq7Y MMO BURDS OR�MVFOVES TMEREQN.AW WHO DOES SUCM YYDRK HIMSELF OR NERSELF OR � � THROUGHHIBORIEpOwNBdPLOYEES,PFiw�DTHATSUCHIMVROYEAtENiSMENOTWTEt�E00R m � OFFHiE�fOR S�YE iF,HOWEVER7NEll1KP�lOR�VE6tENT IS SOL�WfTNM ONEYERAOF COYPLE � z TqN,THE OIYNER-0UILDEp WILL MAVE 7}IE BllimfN OF PqOVYki THAT HE Oq$HE Qq tqi BURD OR � NIFRDVE FON THE PIIpP�E OF S1LLE). W O 4�S OWNEROF 1HE PROPERT;NA EXCLU9N0.Y CONTMCTIN6 N1TN UCENSED CON�RAG70R3 ¢ TO CON$TqUC77F�PNC).fECT(SEC.704/,BUSIFE33 ANO PROFESSIONS 06DE:T1E CWJTRACTOR.>U- V9ItIsIi011 AD,1.qpEp W CENSELA1YppESlpTMPLYTOANOMMEROFAPROPER7YWF10BULL.�SORINPpOYE5h1EREON,A170 I � WIQCONiRACTSFOqBUCNPpQ7ECTSWITHACONfRACTOii(SjLICENSfGPURSUANTTOTMECONTRAF pUANTITY DESCRIPTION FEE � TORSUCENSELAW.). � ❑�AM EXEMPi UNDEH SEC. B.8 V.C.FON THIS RE/SON Q � U � � o�re OwNER V F W LICENSED CONTFlACTORS DECIARATION W � �HENEBYAFFI(GUhmEFVENALiVOFGERWRVTW�T1AiALICENSE�UNDERV{iOVIS10NSOFCHAPTER � � i(CO►MIENCWt3WITTISECT�ON)Ooo1�FD�VISION�0i7NEBVSINESSMIOP(tlOFE55KdYSCOOE.MID Z X MV L�CEN6E IS N7 FULL WRCE AND EFFEC'. u� / � G � 0 LICENSE CL/�SS �LY LIC.NO. �,�71�l Y 1 ] �j o�re [��`3��! corarancToa stf'� G. � 1 a = WORKEHS'COMPENSATION DECLARAT70N a N IHERE9YAFF�pMUNDERPENAITYOFPERIUflYONEOFTHEFOLLOWINGDECtARATIONS: z I � _IHAVEFNDWILLYAINTAINACERTIFIGTEOFCONSEMiOSELFINSUpEFORWORKERS' � I � COMPQISNTpN,AS PFiOVIDED BY SEGTION 7700 oF THE LABOR CODE,FOR THE PERFDRMANCE 'U Q OFTHE'NORK FOR WMId7TFliS PERMITIS ISSUEU. g � _IHAYEANDWILLMAIHT�tNWORKERS'CONAPEIVSATIONI(ISURANCE,ASHEWIREDBYSECTION Q37WOFTHELABORCOOE,�OqTH[PERWRMANCEOFTHEWORKFORWHICHTNISPERMITIS + � ISSUED.YVNIO�N(�ENSAT WSU�CARRIERANDP�LICYNUAIBERARE: CONSTHUCTION S � CARq1EN J PLAN REVIEW _ � Z aoucrrna�eA ��i���� 'D� ELECTAiC � a 0 pt�s[Cipar�roo7eEconr�i�oFiriEaEn.rr�sf�Ot��ct+moq�aaR�oo�oqt.�ssy PLUMBING � Z I CERi1FYTNAT M THE PERiORMANCE oF iHE N'O�UC FOR WHICH THIS PERMIT R ISSUED,l MECHANICAL �"���' t `1 P��-� (J 6HALLNOTEMPLOYFNYPERSONINMIYMANNENSOASTOBECOMESUBJFCTTOTHE '-� 'J U (q WOf�(ERS'COMPENSATION LAWS OF GKIiORNIA.AND AGqEETMAT IF I SHOULD BECOME �NSPECTION F.� SUBJECT TO THE WpRKERS'C01.IGENSATqN PROVISIONS OF kECTION 3]oD OF THE UBOR \ OCAOE.ISHALLf-0RTHWITHCONAVLVWITHTHOSEPROVISIONS. ISSUANCE j3T�� I�r��lf� `��' ' �� � .l p OATE: APPUCANT: SMIP S .L.]A T1..�[�i J WARNIN�:FALLU TO SECURE MNflKERS'COMPENSATION COYERFGE IS UN.AWFUL,ANO SNAL�6E ENERGY P/C � � SUBJECT/WEMPIOYERTOCflININALPENALT�ESPNDCIVILFINESUPTOONEHl1NDREDTHOU5AN0 ENERGYPERMIT OOLLAfLS(fi00,0a��.W FD�IiION 70 7HE COST OF COMPENSATqN,DMUGES AS PROVIOm WR IN � SECTpNTOlOFTHELABORCWE,INTERES7,ANDATfORNE1"SFEES. (a�'ENTIONFEE: d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEi1EBYAFFIRM IXJDER PENALTV OF VEPJURY THATTHERE IS ACONSTqUC710N LENDING AGENCY FOR THE PERFOFMANCE OF T1E WOflK fOR WHICH THIS PEflMIT IS ISSUED(SEC.3087.pY.G�. Z W � LENDEflB NAME WLENDER'SADDHE65 ��, � ICERTiFYT/iAtfNAVEPEAUTNISAPPLICATKINANDSTATETHATTHEABOVE1NFOfWATqNISCOpAECT. TOTA�FEES � I AGqEE t0 GOMPLV N7TN ALL CITY AND COUNiY ORDINANCES ANO STATE UWS REUTING TO BURDING . CONSTRUCTION,AND HEHEBV AUT}iOP12E FEPRESENTATNES Oi MIS COUNTY TO EHTER UPON THE � /�VE�FAENTqNED PROVERTY FOR INSPECTION PURPOSES. COMMENTS 0 !� �' �'��eS�..w�. {r.7lLJ�'�V I� � m PEWAITTEE NAME(PRIN7] ) tn �i� ��-- �/�3 � �r � SIOfiANflE OF PERMITTEE DATE , � RECPT.NO. PAID 9Y • VALIOATIOM WHITE--0epartment Cq�y,YELLAW--Finar�ce Copy,PINK—Assessor Copy,GOLDENHOD�Ife Copy,GREEN— k�nYs C.o{ry �1T� QF ������� �At� , ' a��9,�'E IMsIDJ�R��� ���4+�p#}a,"' 7,y : • I F _ :� •�.��. •j��Y' � � M� i � �'�T�'�t�',� E ��.��7Fi wQ9�`i � , ry�(+_(�,, �} [�_ ___3___��__ `�_..____... -----� , (,��) (1 _^q� _ _.___J-.___ ____._! __. ___ ___� � �I+w�fi t./'�JF'.aLAJ ]���«�..�L � � I il���ld��i S } i ... _..._..�." 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